Interações medicamentosas
Clomipramine + Indacaterol-glycopyrronium
Gravidade: Grave
Clomipramine and Indacaterol-glycopyrronium: major interaction.
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Resumo
Tricyclic antidepressants can potentiate the cardiovascular effects of beta-2 agonists and prolong the QT interval. Clomipramine is also strongly anticholinergic, adding to glycopyrronium's antimuscarinic effects.
O que esta interação significa em palavras simples
Clomipramine and Indacaterol-glycopyrronium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Clomipramine belongs to Central Nervous System; Indacaterol-glycopyrronium belongs to Respiratory.
Por que acontece
Additive QT prolongation, enhanced adrenergic cardiac effects and additive antimuscarinic activity.
O que fazer
Obtain a baseline ECG and monitor QTc, heart rate and electrolytes. Watch for anticholinergic effects such as urinary retention and constipation.
O que perguntar ao farmacêutico
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Outras interações de Indacaterol-glycopyrronium
Outras interações de Clomipramine
- Arsenic trioxide + Clomipramine Contraindicada
- Clomipramine + Dofetilide Contraindicada
- Clomipramine + Droperidol Contraindicada
- Clomipramine + Isocarboxazid Contraindicada
- Clomipramine + Methylene blue Contraindicada
- Clomipramine + Pentamidine Contraindicada
Perguntas frequentes
Can I take Clomipramine with Indacaterol-glycopyrronium?
MediHelp rates the interaction as major. Clomipramine and Indacaterol-glycopyrronium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Tricyclic antidepressants can potentiate the cardiovascular effects of beta-2 agonists and prolong the QT interval. Clomipramine is also strongly anticholinergic, adding to glycopyrronium's antimuscarinic effects.
How serious is the interaction between Clomipramine and Indacaterol-glycopyrronium?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and monitor QTc, heart rate and electrolytes. Watch for anticholinergic effects such as urinary retention and constipation.
What other medicines interact with Indacaterol-glycopyrronium?
MediHelp also lists interactions of Indacaterol-glycopyrronium with, for example, Amisulpride, Arformoterol, Arsenic trioxide. The full list is on the Indacaterol-glycopyrronium page.
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